34th annual institute at the borgata hotel and casino spa ... · studio b mapping the future -...

The New Jersey Chapter of HFMA in cooperation with

The Metropolitan Philadelphia Chapter of HFMAis pleased to announce its

34th Annual Institute at The Borgata Hotel and Casino SpaAtlantic City, NJ 08401October 20 – 22, 2010

®

Check out our Website for more information on our speakers, registration materials and

sponsorship opportunities:

http://www.njhfmainstitute.org

Register on-line at: http://www.regonline.com/hfma2010

Featured Speakers

Dr. Yosef Dlugacz

Dr. Brad Nieder

Dr. Bruce Weinstein

Comprehensive coverage of healthcare

reform!

Debi Kuchka-Craig

Elizabeth Ryan

2

Metropolitan Camden Habitat for Humanity, Inc. was founded in 1986, as an affiliate of Habitat for Human-ity, International. Also known as Metro Camden HFH, or MCHH, we partner with God, people, and organizations to build and renovate houses for those in need of afford-able, decent homes in Camden County, NJ. In addition, we foster and empower healthy communities through educational programs in personal finance, successful homeownership,

and job training in the construction trades.

Volunteer labor, cash and in-kind contributions and interest-free mortgages combine to make home ownership possible for families who could not otherwise afford to own their own home.

As opposed to charity, Habitat for Humanity embraces partnership with the poor. Every Habitat homeowner has worked “sweat equity” alongside the volunteers to earn their house. Every Habitat homeowner will pay full price for their house (Partner Family at settlement, left). Homeowners have a financial stake in their homes and their communities. Homeownership has been demonstrated to be critical to rebuilding stable communities.

MCHH subsidizes its homeowners by financing 99% of the purchase price at an interest rate of 0%. We believe the word of God in Ex 22:25, when He commanded the Israelites not to lend money at interest to their neighbors who were poor. To us this is common sense. None of the families we’ve housed could have qualified for a bank mortgage—they couldn’t afford the interest.

The whole point of affordable housing is to give a family the opportunity to have more money leftover at the end of the month to use for other important things in life. How those choices are made is entirely up to the family. However, if a household doesn’t wisely man-age their money, they could still be no better off, not having the money saved for their dreams, let alone repairs to their house. Therefore MCHH requires homeownership training (right) including household budgeting for every partner family. We are happy to say that there are at least five Habitat children in college, and one of our homeowners has gone back to school to become a nurse.

We are not satisfied just placing families into pretty houses. MCHH promotes community in the neighborhoods in which it works and provides education and support to help new homeowners succeed. We earnestly desire that our Partner Families commit themselves to the mutual support required to build a strong community. Our long-range goal is to leave behind attractive, vibrant neighborhoods that are desirable to live in.

Annual Institute is a time to give back …

33

... and you thought it was just about education!

Networking events include:

Wednesday EveningOpening of Vendor Fair in Event Center �

Roaring 20’s Bootlegger Banquet �

Buffet Dinner and Open Bar. Mix with flappers and gang-sters; have your picture taken, and play the arcade booths—all while dancing to the vintage music band.

Charity Auction benefiting Habitat for Humanity in Camden �

Items include sports tickets, gift certificates, overnight get-aways!

Thursday EveningPresident’s Reception at the MIXX �

Open Bar and all the Shrimp you can eat!

Dessert/Karaoke Event at MIXX � More Open Bar and Music to Sing By

… and to celebrate our personal and professional friendships!

4

Schedule at a Glance

4

Time Location Workshop Details

Wednesday, October 20, 201010:00 a.m. – 10:50 a.m. Studio A HIPAA/HITECH Security and

Privacy – A Practical Approach

Kevin O’SullivanRaj Chaudhary, PE, CGEITCrowe Horwath

Most Covered Entities have invested in developing HIPAA Privacy (2002/04) and Security (2004/06) programs over the past 6-8 years in order to mitigate the risk of loss of PHI. Due to lack of HIPAA Police and complaint driven/voluntary breach reporting/ investigation, this risk has not received the attention of upper management. With HITECH’s Privacy provisions and potential for major penalties, this is emerging as a serious risk for Covered Entities and Business Associates and is getting the attention of executive management. The theme of this presentation will be – How to proceed with mitigation of this risk in a practical way? The speakers will share with the audience a phased approach to HIPAA risk mitigation and also the results of a HIPAA Compliance Benchmarking Study co-sponsored by Crowe Horwath and conducted by Ponemon Institute.

Studio B N/A N/AStudio C Predictive Models in the Busi-

ness Office, “Good”, “Better”, “Best” Deployment Approaches

Steve LevinConnance

Learn about three different approaches to utilize predictive models for improved business office self-pay collection processes.

1. “Good” leverages predictive models to prioritize efforts

2. “Better” integrates charity analytics

3. “Best” moves to segmented workflows

In all cases, using predictive models increases cash collections. Learn how your business office can benefit from prioritizing, segmenting and focusing activities for improved cash collection. Strategies to integrate analytics with your outsourced operations will also be discussed.

Studio D Medicare Secondary Payer Best Practices

Allan SchroederChris MooreMedical Reimbursement of America, LLC

The presentation will focus on handling Complex Claims and the right steps that need to be taken to ensure payment maximization back to the Hospitals; all while using industry best practices. Medicare secondary payor refers to situations in which Medicare does not have primary respon-sibility for paying the medical expenses of a Medicare beneficiary, because the beneficiary is entitled to other coverage which should pay primary resulting in a complex claim. We will focus on the history and inception of Medicare secondary payor laws, the challenges hospitals face when dealing with complex claims, and brief insights on how to interpret and comply with CMS guidelines.

11:15 a.m. – 12:05 p.m. Studio A Medicare and Medicaid Pro-gram Integrity Contractors: Making Sense of the Alphabet Soup

Joseph Zebrowitz, M.D.EHR

New regulatory enforcement initiatives have led to the creation of many different types of Medicare and Medicaid Program Integrity Contractors and a veritable alphabet soup of acronyms. It is essential that providers understand the roles of each group, how to deal with their findings and when and how to appeal them.

Following this session, participants should be better able to:

Describe the role of MACs, RACs, PSCs, ZPICs, CERT, MIP, MIG, MICs, PERM and MIGs �Recognize the individual program integrity contractors’ findings and how they interrelate �Discuss the current status of these programs �Identify the direct hospital and provider impact of current regulatory enforcement initiatives �Determine how to prioritize your focus among these auditing bodies to assess the greatest threats and opportunities for ensuring revenue �integrity

Recognize when and how to structure an appeal with each of these groups �Outline the steps to take to proactively ensure compliance across regulatory enforcement initiatives �

Studio B Mapping the Future - Supply Chain Transformation – Case Study of a large Academic Health System Transformation

Paul Hamilton, MS, MBA, CPM, CRMPFTI Healthcare

Donna Drummond, CPANorth Shore LIJ Health System

Discuss the trends that are driving escalation of healthcare costs and the trends that impact profitability of hospital operations and ultimately force hospitals to efficiently manage extremely scarce resources in light of a case study example of a large health system client. We want people to understand that there is a convergence of important trends that together lay the foundation for the increasing relevance and complexity of the Supply Chain operation at hospitals in the coming years. Overall shrinking reimbursement will mean hospitals will need to look to operational ef-ficiency as the key to maintaining margin.

Increased utilization, demand, coverage, aging population, Obama’s plan, reimbursement changes and the increasing role of consumers – in this case we’re referring to patient requests for specific, generally premium healthcare products (as opposed to a low cost, high deductable plan that includes preventive care not charged against the deductible, and access to information and tools that help consumers make better health care decisions) are driving up costs.

In order to deal with these issues and continue to try to provide the possible patient care and safety, clients need to focus of decreasing variabil-ity through evidence-based practices and enhanced outcomes, improve operational and financial performance to help fund aggressive financial metrics, reduce trends of over-utilization and inefficient clinical practice.

We would go through the multiple ways to address this difficult, complex, and yet achievable goals in working cross-functionally with hospital leadership, physicians, nurses, supply chain, materials management, department heads and finance leaders to improve processes and decrease costs while improving the quality and outcomes of patient in a collaborative manner.

Wednesday October 20, 2010 8:00 a.m. to 12:00 p.m. Registration Desk Open 10:00 a.m. to 10:50 a.m.

Studios A-DWednesday Morning Breakout Sessions: Part One

10:50 a.m. to 11:15 a.m. Break 11:15 a.m. to 12:05 p.m.

Studios A-DWednesday Morning Breakout Sessions: Part Two

12:05 p.m. to 2:00 p.m. Registration Lobby

Lunch Break – Buffet Lunch

2:00 p.m. to 2:50 p.m. Studios A-D

Wednesday Afternoon Breakout Sessions: Part One

2:50 p.m. to 3:15 p.m. Break 3:15 p.m. to 4:05 p.m.

Studios A-DWednesday Afternoon Breakout Sessions: Part Two

2:00 p.m. to 6:00 p.m. Event Center

Exhibit Hall Set Up


Vendor Fair/Roaring 20’s Bootleggers Banquet Networking Dinner/Habitat for Humanity Charity Auction

Friday October 22, 2010 7:00 a.m. to 8:30 a.m.

Event CenterBreakfast and Vendor Fair

8:30 a.m. to 8:40 a.m. Event Center

Introduction and Opening Remarks


Morning Keynote Address: Dr. Brad Nieder

9:40 a.m. to 9:50 a.m. Break 9:50 a.m. to 10:50 a.m.

Event CenterDr. Bruce Weinstein – The Ethics Guy

10:50 a.m. to 11:00 a.m. Break

11:00 a.m. to 12:15 p.m. Event Center

CFO Panel: Brian Sherin – Moderator

Panelists include: Kevin Brennan, Geisinger Health System; Stella Visaggio, Hackettstown Regional Medical Center; Garrick Stoldt, St. Peter’s Medical Center; and Neil Lubarsky, Thomas Jefferson University Hospital. 12:15 p.m. to 12:30 p.m.

Event CenterClosing Remarks and Confer ence Raffles

12:30 p.m. to 1:30 p.m. Exhibit Hall Breakdown

Thursday October 21, 2010 7:00 a.m. to 12:00 p.m. Registration Desk Open


Breakfast and Vendor Fair / New Member Breakfast / Metro Philly Breakfast




HFMA National President Debi Kuchka-Craig

9:10 a.m to 10:00 a.m. Event Center

NJHA President Elizabeth Ryan


Studios A-DThursday Morning Breakout Sessions: Part One

11:00 a.m. to 11:10 a.m. Break 11:10 a.m. to 12:00 Noon

Studios A-DThursday Morning Breakout Sessions: Part Two

12:00 Noon to 1:30 p.m. Event Center

Luncheon


Awards Ceremony


Afternoon Keynote Address Dr. Yosef Dlugacz


Studios A-DThursday Afternoon Breakout Sessions: Part One


Studios A-DThursday Afternoon Breakout Sessions: Part Two


MIXXChapter Presidents Cocktail Reception


MIXXDessert Reception and Karaoke Party

55


Wednesday, October 20, 201010:00 a.m. – 10:50 a.m. Studio A HIPAA/HITECH Security and

Privacy – A Practical Approach

Kevin O’SullivanRaj Chaudhary, PE, CGEITCrowe Horwath

Most Covered Entities have invested in developing HIPAA Privacy (2002/04) and Security (2004/06) programs over the past 6-8 years in order to mitigate the risk of loss of PHI. Due to lack of HIPAA Police and complaint driven/voluntary breach reporting/ investigation, this risk has not received the attention of upper management. With HITECH’s Privacy provisions and potential for major penalties, this is emerging as a serious risk for Covered Entities and Business Associates and is getting the attention of executive management. The theme of this presentation will be – How to proceed with mitigation of this risk in a practical way? The speakers will share with the audience a phased approach to HIPAA risk mitigation and also the results of a HIPAA Compliance Benchmarking Study co-sponsored by Crowe Horwath and conducted by Ponemon Institute.

Studio B N/A N/AStudio C Predictive Models in the Busi-

ness Office, “Good”, “Better”, “Best” Deployment Approaches

Steve LevinConnance

Learn about three different approaches to utilize predictive models for improved business office self-pay collection processes.

1. “Good” leverages predictive models to prioritize efforts

2. “Better” integrates charity analytics

3. “Best” moves to segmented workflows

In all cases, using predictive models increases cash collections. Learn how your business office can benefit from prioritizing, segmenting and focusing activities for improved cash collection. Strategies to integrate analytics with your outsourced operations will also be discussed.

Studio D Medicare Secondary Payer Best Practices

Allan SchroederChris MooreMedical Reimbursement of America, LLC

The presentation will focus on handling Complex Claims and the right steps that need to be taken to ensure payment maximization back to the Hospitals; all while using industry best practices. Medicare secondary payor refers to situations in which Medicare does not have primary respon-sibility for paying the medical expenses of a Medicare beneficiary, because the beneficiary is entitled to other coverage which should pay primary resulting in a complex claim. We will focus on the history and inception of Medicare secondary payor laws, the challenges hospitals face when dealing with complex claims, and brief insights on how to interpret and comply with CMS guidelines.

11:15 a.m. – 12:05 p.m. Studio A Medicare and Medicaid Pro-gram Integrity Contractors: Making Sense of the Alphabet Soup

Joseph Zebrowitz, M.D.EHR

New regulatory enforcement initiatives have led to the creation of many different types of Medicare and Medicaid Program Integrity Contractors and a veritable alphabet soup of acronyms. It is essential that providers understand the roles of each group, how to deal with their findings and when and how to appeal them.

Following this session, participants should be better able to:

Describe the role of MACs, RACs, PSCs, ZPICs, CERT, MIP, MIG, MICs, PERM and MIGs �Recognize the individual program integrity contractors’ findings and how they interrelate �Discuss the current status of these programs �Identify the direct hospital and provider impact of current regulatory enforcement initiatives �Determine how to prioritize your focus among these auditing bodies to assess the greatest threats and opportunities for ensuring revenue �integrity

Recognize when and how to structure an appeal with each of these groups �Outline the steps to take to proactively ensure compliance across regulatory enforcement initiatives �

Studio B Mapping the Future - Supply Chain Transformation – Case Study of a large Academic Health System Transformation

Paul Hamilton, MS, MBA, CPM, CRMPFTI Healthcare

Donna Drummond, CPANorth Shore LIJ Health System

Discuss the trends that are driving escalation of healthcare costs and the trends that impact profitability of hospital operations and ultimately force hospitals to efficiently manage extremely scarce resources in light of a case study example of a large health system client. We want people to understand that there is a convergence of important trends that together lay the foundation for the increasing relevance and complexity of the Supply Chain operation at hospitals in the coming years. Overall shrinking reimbursement will mean hospitals will need to look to operational ef-ficiency as the key to maintaining margin.

Increased utilization, demand, coverage, aging population, Obama’s plan, reimbursement changes and the increasing role of consumers – in this case we’re referring to patient requests for specific, generally premium healthcare products (as opposed to a low cost, high deductable plan that includes preventive care not charged against the deductible, and access to information and tools that help consumers make better health care decisions) are driving up costs.

In order to deal with these issues and continue to try to provide the possible patient care and safety, clients need to focus of decreasing variabil-ity through evidence-based practices and enhanced outcomes, improve operational and financial performance to help fund aggressive financial metrics, reduce trends of over-utilization and inefficient clinical practice.

We would go through the multiple ways to address this difficult, complex, and yet achievable goals in working cross-functionally with hospital leadership, physicians, nurses, supply chain, materials management, department heads and finance leaders to improve processes and decrease costs while improving the quality and outcomes of patient in a collaborative manner.

Wednesday, October 20, 2010

6

Time Location Workshop DetailsStudio C Performance-Based Reimburse-

ment: Leadership, Strategy, Risk and Control Initiatives

David Gregory, FACHENeil Pressman, FACHEPresscott Associates, Ltd.

Healthcare reform will add significant numbers of uninsured Americans to the rolls of healthcare delivery systems reimbursed by fee-for-service payment. This reimbursement methodology is financially untenable to maintain going forward. The burgeoning Medicare population is also creat-ing additional pressures. New healthcare reform legislation is intended to address these and other issues.

Next generation healthcare payment and organizational strategies are under development to manage healthcare costs. “Bundled payments” to acute care hospital(s) and physicians for an episode of treatment is an approach warranting attention. Bundled payments would be severity-adjusted and could encompass pre-admission/post discharge care. Payments would consider quality of care, and provide accountability based on measurements of quality and cost. This current reimbursement trend will challenge hospitals to redefine physician integration strategies and demonstrate leadership in developing infrastructures to support “high-performing” integrated delivery networks.

Accountable Care Organizations (ACOs) have been introduced as a model for integrating clinical services and financial management, combin-ing provider payment and delivery system reform. Integrated delivery networks and ACOs will be discussed in terms of: structuring a continuum of care, prospectively planning healthcare resources, developing internal controls for valid, reliable performance measurements, and successfully managing the financial risk of administering bundled payments and other evolving performance-based/risk arrangements.

Studio D Understanding SSDI and Man-aging Your Hidden Long Term Risk

Karen Hercules-DoerrRandy FarmerAllsup

This program provides a practical overview of Social Security Disability Insurance (SSDI) and compares and contrasts this program with Supplemen-tal Security Income (SSI). The SSDI-eligible population is demographically and statistically described and the program explores some of the ways in which non-awarded SSDI-eligible patients can impact hospital revenues. Best practices for strategically managing the SSDI eligibility determina-tion and access processes are examined. Finally, the program explores various options for and benefits of incorporating SSDI as a component of strategic revenue cycle management.

2:00 p.m. – 2:50 p.m. Studio A Hot Topics in IT – and Why You Can’t Just Expect Your CIO to Solve Everything

Chad Schieken, CISAParenteBeard LLC

This session will provide an overview of the challenges that many hospitals are facing, and some of the challenges about to arise. Recently, many new rules have been promulgated which affect Healthcare Providers, Payers and others. The HITECH Act changed HIPAA guidelines, the Payment Card Industry introduced new security rules, the Federal Trade Commission has issued Identify theft “Red Flag” rules, and the transition to ICD-10 is just around the corner. Each new challenge requires resources and concerted effort to understand, evaluate, and address. What can hospitals with shrinking reimbursements, reduced income from investments, and increased compliance requirements do to manage these challenges?

Today’s healthcare environment requires a rational approach to prioritize resources to tackle these issues, and provide reasonable comfort that everything, which must be addressed, has been addressed. We will outline what we have seen in the industry, what leading hospitals are doing, and what you can do to stay ahead of the curve. We will help you understand the strategic implications of these requirements, the planning required, and the leading practices some organizations are employing to tackle these challenges.

Studio B Lean Management: Increase Ef-ficiency and Improve Quality in Healthcare

John Lees, PhDKenneth ThompsonMedAssets

In the current economic climate and with healthcare reform looming, the urgency around finding ways to remain economically viable while improving patient care is taking center stage. The question now being asked by everyone in the provider community is: With utilization about to skyrocket with the ‘newly insured’ combining with payment percentages being reduced even further, how can ANY hospital remain a viable busi-ness? This session will examine how the traditional healthcare administrative focus on silos and ‘units of work’ will need to shift to focus on ‘Value Streams’ that deliver VALUE to the patients and BUSINESS VIABILITY to the hospitals. Our case study will center around the hospital Revenue Stream (it’s not a cycle!) and how value is gained and lost from the 1st scheduling call to the last payment received.

Studio C Healthcare Regulatory & Coding Update – 2011

Michael McLafferty, CPA, MBA, CHFP, FACMPEMaureen Doherty, CPC, CPC-HAmper, Politziner, & Mattia, LLP

The presentation will review key Federal and State healthcare regulations. The discussion will focus on how these regulations will impact the hospital, surgical center, and physician parts of the industry.

Studio D Creating the Engaged Patient - Driving Improvement Across the Revenue Cycle

David DykeRelayHealth

This session will provide new strategies and tools to assist organizations in creating patients who are prepared for the financial responsibilities associated with high deducible health plans and other out of pocket liabilities. Additionally, the session will provide insight on improving interac-tions and automation with high deductible health plans.












Exhibit Hall Set Up











10:50 a.m. to 11:00 a.m. Break




















Luncheon


Awards Ceremony












7

Time Location Workshop DetailsStudio C Performance-Based Reimburse-

ment: Leadership, Strategy, Risk and Control Initiatives

David Gregory, FACHENeil Pressman, FACHEPresscott Associates, Ltd.

Healthcare reform will add significant numbers of uninsured Americans to the rolls of healthcare delivery systems reimbursed by fee-for-service payment. This reimbursement methodology is financially untenable to maintain going forward. The burgeoning Medicare population is also creat-ing additional pressures. New healthcare reform legislation is intended to address these and other issues.

Next generation healthcare payment and organizational strategies are under development to manage healthcare costs. “Bundled payments” to acute care hospital(s) and physicians for an episode of treatment is an approach warranting attention. Bundled payments would be severity-adjusted and could encompass pre-admission/post discharge care. Payments would consider quality of care, and provide accountability based on measurements of quality and cost. This current reimbursement trend will challenge hospitals to redefine physician integration strategies and demonstrate leadership in developing infrastructures to support “high-performing” integrated delivery networks.

Accountable Care Organizations (ACOs) have been introduced as a model for integrating clinical services and financial management, combin-ing provider payment and delivery system reform. Integrated delivery networks and ACOs will be discussed in terms of: structuring a continuum of care, prospectively planning healthcare resources, developing internal controls for valid, reliable performance measurements, and successfully managing the financial risk of administering bundled payments and other evolving performance-based/risk arrangements.

Studio D Understanding SSDI and Man-aging Your Hidden Long Term Risk

Karen Hercules-DoerrRandy FarmerAllsup

This program provides a practical overview of Social Security Disability Insurance (SSDI) and compares and contrasts this program with Supplemen-tal Security Income (SSI). The SSDI-eligible population is demographically and statistically described and the program explores some of the ways in which non-awarded SSDI-eligible patients can impact hospital revenues. Best practices for strategically managing the SSDI eligibility determina-tion and access processes are examined. Finally, the program explores various options for and benefits of incorporating SSDI as a component of strategic revenue cycle management.

2:00 p.m. – 2:50 p.m. Studio A Hot Topics in IT – and Why You Can’t Just Expect Your CIO to Solve Everything

Chad Schieken, CISAParenteBeard LLC

This session will provide an overview of the challenges that many hospitals are facing, and some of the challenges about to arise. Recently, many new rules have been promulgated which affect Healthcare Providers, Payers and others. The HITECH Act changed HIPAA guidelines, the Payment Card Industry introduced new security rules, the Federal Trade Commission has issued Identify theft “Red Flag” rules, and the transition to ICD-10 is just around the corner. Each new challenge requires resources and concerted effort to understand, evaluate, and address. What can hospitals with shrinking reimbursements, reduced income from investments, and increased compliance requirements do to manage these challenges?

Today’s healthcare environment requires a rational approach to prioritize resources to tackle these issues, and provide reasonable comfort that everything, which must be addressed, has been addressed. We will outline what we have seen in the industry, what leading hospitals are doing, and what you can do to stay ahead of the curve. We will help you understand the strategic implications of these requirements, the planning required, and the leading practices some organizations are employing to tackle these challenges.

Studio B Lean Management: Increase Ef-ficiency and Improve Quality in Healthcare

John Lees, PhDKenneth ThompsonMedAssets

In the current economic climate and with healthcare reform looming, the urgency around finding ways to remain economically viable while improving patient care is taking center stage. The question now being asked by everyone in the provider community is: With utilization about to skyrocket with the ‘newly insured’ combining with payment percentages being reduced even further, how can ANY hospital remain a viable busi-ness? This session will examine how the traditional healthcare administrative focus on silos and ‘units of work’ will need to shift to focus on ‘Value Streams’ that deliver VALUE to the patients and BUSINESS VIABILITY to the hospitals. Our case study will center around the hospital Revenue Stream (it’s not a cycle!) and how value is gained and lost from the 1st scheduling call to the last payment received.

Studio C Healthcare Regulatory & Coding Update – 2011

Michael McLafferty, CPA, MBA, CHFP, FACMPEMaureen Doherty, CPC, CPC-HAmper, Politziner, & Mattia, LLP

The presentation will review key Federal and State healthcare regulations. The discussion will focus on how these regulations will impact the hospital, surgical center, and physician parts of the industry.

Studio D Creating the Engaged Patient - Driving Improvement Across the Revenue Cycle

David DykeRelayHealth

This session will provide new strategies and tools to assist organizations in creating patients who are prepared for the financial responsibilities associated with high deducible health plans and other out of pocket liabilities. Additionally, the session will provide insight on improving interac-tions and automation with high deductible health plans.


8

Time Location Workshop Details3:15 p.m. – 4:05 p.m. Studio A Auditor’s Revenge

Allan DeKaye, MBA, FHFMADEKAYE Consulting, Inc.

There was a time when internal and external auditors struck fear in the minds of Revenue Cycle department heads. Management letters uncov-ered operational weaknesses and lack of controls—and required corrective action plans that went to the Board. Procedural deficiencies, lack of written guidance and insufficient training were also found to be prevalent. While external auditors still exist today, budget cuts and a morphing into a HIPAA dominated world has reduced the traditional internal audit function. Provider’s first line of defense has become a decentralized responsibility that is often compartmentalized and not well-coordinated to meet the challenges of today’s anti-fraud payment recovery initiatives.

Although governmental fraud and abuse has been found to run rampant outside of health systems with organized crime and individual schem-ers, sufficient levels of provider based recoveries, initiated from a variety of governmental and contracted agents, has set the stage for payment recoupment at unprecedented levels. If healthcare providers are to be spared this recovery wrath, they will need to recreate an audit-proofing environment that encompasses the actions of care-givers, administrators and department heads along with technological tools. The presentation will address how this dynamic needs to be structured and implemented to achieve organizational effectiveness and safeguards.

Studio B Doing More with Less – A Financial Reality Check and Survival Guide

Jeffrey Blumengold, CPA, FH-FMAWithumSmith+Brown, PC

Steven Belli, CPASource One Management Services, LLC

With Healthcare Reform now passed and looming changes on the horizon, many institutions are looking for ways to continue to provide the same level of service to the community, even as revenues decline. This session will provide an overview of trends, as well as the likely impact that the impending changes will have on revenues, and provide strategies to reduce non-employee related costs. Effectively managing these costs often can provide a huge impact on bottom line growth. Two critical components to cost reduction that many organizations overlook include market intelligence and supply strategies. Market intelligence is required to develop savings targets for each spend category. There are hundreds of informational sources available to help gather the data needed to prepare a supply strategy. Different supply strategies are needed for each spend category and specific circumstance. Find out which strategy to use and the skills needed to successfully deploy the strategy.

Studio C Hospital Physician Integration—Everything Old Is New Again

Howard Tepper, MBA, FHFMAHackensack University Medical Center

Physician and hospital relationships are changing. As healthcare reform and the economics of practice change so do the opportunities for physi-cian and hospitals to change and improve their relationships. In this session, you will discover the different type of arrangements that can exist between the entities.

Studio D MAP Keys (KPI) and MAP Award

Suzanne Lestina CHFP, CPC HFMA National

Over the last decade, the business justification for detailed analytical measures has been clear; organizations that leverage benchmarks consis-tently outperform peers. As a result, a new set of best practices are expanding and nowhere is the opportunity greater than enhancing revenue cycle management.

The Healthcare Financial Management Association will present an overview of the revenue cycle management best practices and measures as gathered across our diverse and extensive member communities. We will share the importance of benchmarks and their ability to impact manage-ment decision making. Our approach to KPI development and promotion stresses the value of consistent measures and peer comparisons with solutions that can bring improvement to any provider’s financial performance and enhance customer satisfaction.

Our session will demonstrate why peer compared analytics will create new opportunities for your institution to improve your revenue cycle perfor-mance and will cover the following:

Aspects of reform and current environment that affect revenue cycle �Revenue cycle imperatives �Meeting these needs though evidence-based improvement �HFMA’s KPIs �How HFMA’s MAP fosters performance improvement �












Exhibit Hall Set Up











10:50 a.m. to 11:00 a.m. Break




















Luncheon


Awards Ceremony












9

Time Location Workshop Details3:15 p.m. – 4:05 p.m. Studio A Auditor’s Revenge

Allan DeKaye, MBA, FHFMADEKAYE Consulting, Inc.

There was a time when internal and external auditors struck fear in the minds of Revenue Cycle department heads. Management letters uncov-ered operational weaknesses and lack of controls—and required corrective action plans that went to the Board. Procedural deficiencies, lack of written guidance and insufficient training were also found to be prevalent. While external auditors still exist today, budget cuts and a morphing into a HIPAA dominated world has reduced the traditional internal audit function. Provider’s first line of defense has become a decentralized responsibility that is often compartmentalized and not well-coordinated to meet the challenges of today’s anti-fraud payment recovery initiatives.

Although governmental fraud and abuse has been found to run rampant outside of health systems with organized crime and individual schem-ers, sufficient levels of provider based recoveries, initiated from a variety of governmental and contracted agents, has set the stage for payment recoupment at unprecedented levels. If healthcare providers are to be spared this recovery wrath, they will need to recreate an audit-proofing environment that encompasses the actions of care-givers, administrators and department heads along with technological tools. The presentation will address how this dynamic needs to be structured and implemented to achieve organizational effectiveness and safeguards.

Studio B Doing More with Less – A Financial Reality Check and Survival Guide

Jeffrey Blumengold, CPA, FH-FMAWithumSmith+Brown, PC

Steven Belli, CPASource One Management Services, LLC

With Healthcare Reform now passed and looming changes on the horizon, many institutions are looking for ways to continue to provide the same level of service to the community, even as revenues decline. This session will provide an overview of trends, as well as the likely impact that the impending changes will have on revenues, and provide strategies to reduce non-employee related costs. Effectively managing these costs often can provide a huge impact on bottom line growth. Two critical components to cost reduction that many organizations overlook include market intelligence and supply strategies. Market intelligence is required to develop savings targets for each spend category. There are hundreds of informational sources available to help gather the data needed to prepare a supply strategy. Different supply strategies are needed for each spend category and specific circumstance. Find out which strategy to use and the skills needed to successfully deploy the strategy.

Studio C Hospital Physician Integration—Everything Old Is New Again

Howard Tepper, MBA, FHFMAHackensack University Medical Center

Physician and hospital relationships are changing. As healthcare reform and the economics of practice change so do the opportunities for physi-cian and hospitals to change and improve their relationships. In this session, you will discover the different type of arrangements that can exist between the entities.

Studio D MAP Keys (KPI) and MAP Award

Suzanne Lestina CHFP, CPC HFMA National

Over the last decade, the business justification for detailed analytical measures has been clear; organizations that leverage benchmarks consis-tently outperform peers. As a result, a new set of best practices are expanding and nowhere is the opportunity greater than enhancing revenue cycle management.

The Healthcare Financial Management Association will present an overview of the revenue cycle management best practices and measures as gathered across our diverse and extensive member communities. We will share the importance of benchmarks and their ability to impact manage-ment decision making. Our approach to KPI development and promotion stresses the value of consistent measures and peer comparisons with solutions that can bring improvement to any provider’s financial performance and enhance customer satisfaction.

Our session will demonstrate why peer compared analytics will create new opportunities for your institution to improve your revenue cycle perfor-mance and will cover the following:

Aspects of reform and current environment that affect revenue cycle �Revenue cycle imperatives �Meeting these needs though evidence-based improvement �HFMA’s KPIs �How HFMA’s MAP fosters performance improvement �


10


Thursday, October 21, 20108:10 a.m. – 9:10 a.m. Event Center Keynote

Debi Kuchka-CraigHFMA National President

Ms. Kuchka-Craig is the voluntary Chair of the Healthcare Financial Management Association (HFMA) during the 2010-11 term beginning June 1, 2010.

Ms. Kuchka-Craig is Corporate Vice President, Managed Care, MedStar Health, Columbia, Maryland.

In her role at MedStar Health, Ms. Kuchka-Craig is responsible for managing third party payer relations and contracts for MedStar’s five Maryland hospitals, several hundred employed physicians, and various diversified healthcare companies. In addition to her provider role, Ms. Kuchka-Craig also has executive oversight for the provider network, credentialing, and community outreach functions of MedStar Family Choice, a Medicaid MCO with over 23,000 members.

With 25 years of healthcare industry experience, Ms. Kuchka-Craig has served as both provider and payer. The first 12 years of her career were with Blue Cross Blue Shield of Maryland (now CareFirst) where she held the position of Director of Networks Management prior to joining Med-Star.

A member of HFMA since 1993, Ms. Kuchka-Craig’s involvement with the National Association includes serving on the Managed Care Forum Advisory Council (1997-00), the Board of Examiners (2003-07), serving as chair during 2006-07, the National Advisory Councils (2005-06), the Strategic Planning Committee (2005-07 and 2008-11), serving as chair (2009-10), the Board of Directors (2005-11), the Executive Committee (2006-11), serving as chair 2010-11, and the Audit & Finance Committee (2007-11), serving as chair in 2008-09. Ms. Kuchka-Craig has also served the Maryland Chapter as Treasurer, Secretary, Vice President, President-Elect, and President. She has received the Follmer Bronze, Reeves Silver, Muncie Gold, and Medal of Honor merit awards.

A past recipient of Maryland’s Top 100 Women award, she remains an active member of her community, having served on numerous community boards, including United Cerebral Palsy of Central Maryland where she also chaired the Board Nominating Committee.

Ms. Kuchka-Craig, a Fellow of HFMA, received her Bachelor of Arts degree cum laude from Lehigh University and a Master of Science degree in Health Planning and Administration from The Johns Hopkins School of Hygiene and Public Health, Baltimore, Maryland (now the Bloomberg School of Public Health).

9:10 a.m. – 10:00 a.m. Event Center Keynote

Elizabeth RyanNJHA President

Elizabeth A. Ryan, Esq. is president and CEO of the Princeton-based New Jersey Hospital Association, a not-for-profit trade association represent-ing New Jersey’s hospitals and other healthcare providers. As CEO Ryan oversees NJHA, Health Research and Educational Trust of New Jersey, a not-for-profit affiliate that promotes continuing patient safety, quality improvement education and research; the for-profit Healthcare Business Solutions, which provides group purchasing and other business solutions for healthcare providers; and the Healthcare Employees Federal Credit Union. Her responsibilities include oversight of NJHA’s operations, in addition to fostering member advocacy and coordinating such efforts at both the state and federal levels.

Previously Ms. Ryan practiced law in Mount Holly and went on to serve as assistant counsel under former Gov. Jim Florio and Chief of Staff of the state Department of Health. She also was a senior vice president with the New York City Health and Hospitals Corp. and a regional executive for the American Hospital Association and the Healthcare Association of New York State. She served as a member of New Jersey’s Board of Medical Examiners, the Clinton-Gore Transition Team, the legal audit team for the Clinton National Health Care Reform Task Force, and both Governor Corzine’s and Governor McGreevey’s transition teams. Ms. Ryan received her law degree from Seton Hall University School of Law and a bach-elor’s degree from Rutgers University (Cook College).

10:15 a.m. – 11:05 a.m. Studio A “The Feds Are Here – Now What??”

Bret S. Bissey, FACHE, MBAIMA Consulting

Martin Monaco, JD, MBADuane Morris, LLP

Your Organization has received a Federal Warrant or Subpoena issued by the Department of Health and Human Services Officer of Inspector Gen-eral, what are the proper reactionary activities to take. This session will discuss the following topics:

Service of Warrant or Subpoena on Officers of Facility Executives �Pro-Active Planning and Preparation Efforts �First Call and Action �Officer’s Response Based Upon Facility Policy �Protocol for Interaction with Agents �Significant Disruption in Services �Subpoena Authority �Areas of Concern �












Exhibit Hall Set Up











10:50 a.m. to 11:00 a.m. Break




















Luncheon


Awards Ceremony












11

Thursday, October 21, 2009Time Location Workshop Details

Thursday, October 21, 20108:10 a.m. – 9:10 a.m. Event Center Keynote

Debi Kuchka-CraigHFMA National President

Ms. Kuchka-Craig is the voluntary Chair of the Healthcare Financial Management Association (HFMA) during the 2010-11 term beginning June 1, 2010.

Ms. Kuchka-Craig is Corporate Vice President, Managed Care, MedStar Health, Columbia, Maryland.

In her role at MedStar Health, Ms. Kuchka-Craig is responsible for managing third party payer relations and contracts for MedStar’s five Maryland hospitals, several hundred employed physicians, and various diversified healthcare companies. In addition to her provider role, Ms. Kuchka-Craig also has executive oversight for the provider network, credentialing, and community outreach functions of MedStar Family Choice, a Medicaid MCO with over 23,000 members.

With 25 years of healthcare industry experience, Ms. Kuchka-Craig has served as both provider and payer. The first 12 years of her career were with Blue Cross Blue Shield of Maryland (now CareFirst) where she held the position of Director of Networks Management prior to joining Med-Star.

A member of HFMA since 1993, Ms. Kuchka-Craig’s involvement with the National Association includes serving on the Managed Care Forum Advisory Council (1997-00), the Board of Examiners (2003-07), serving as chair during 2006-07, the National Advisory Councils (2005-06), the Strategic Planning Committee (2005-07 and 2008-11), serving as chair (2009-10), the Board of Directors (2005-11), the Executive Committee (2006-11), serving as chair 2010-11, and the Audit & Finance Committee (2007-11), serving as chair in 2008-09. Ms. Kuchka-Craig has also served the Maryland Chapter as Treasurer, Secretary, Vice President, President-Elect, and President. She has received the Follmer Bronze, Reeves Silver, Muncie Gold, and Medal of Honor merit awards.

A past recipient of Maryland’s Top 100 Women award, she remains an active member of her community, having served on numerous community boards, including United Cerebral Palsy of Central Maryland where she also chaired the Board Nominating Committee.

Ms. Kuchka-Craig, a Fellow of HFMA, received her Bachelor of Arts degree cum laude from Lehigh University and a Master of Science degree in Health Planning and Administration from The Johns Hopkins School of Hygiene and Public Health, Baltimore, Maryland (now the Bloomberg School of Public Health).

9:10 a.m. – 10:00 a.m. Event Center Keynote

Elizabeth RyanNJHA President

Elizabeth A. Ryan, Esq. is president and CEO of the Princeton-based New Jersey Hospital Association, a not-for-profit trade association represent-ing New Jersey’s hospitals and other healthcare providers. As CEO Ryan oversees NJHA, Health Research and Educational Trust of New Jersey, a not-for-profit affiliate that promotes continuing patient safety, quality improvement education and research; the for-profit Healthcare Business Solutions, which provides group purchasing and other business solutions for healthcare providers; and the Healthcare Employees Federal Credit Union. Her responsibilities include oversight of NJHA’s operations, in addition to fostering member advocacy and coordinating such efforts at both the state and federal levels.

Previously Ms. Ryan practiced law in Mount Holly and went on to serve as assistant counsel under former Gov. Jim Florio and Chief of Staff of the state Department of Health. She also was a senior vice president with the New York City Health and Hospitals Corp. and a regional executive for the American Hospital Association and the Healthcare Association of New York State. She served as a member of New Jersey’s Board of Medical Examiners, the Clinton-Gore Transition Team, the legal audit team for the Clinton National Health Care Reform Task Force, and both Governor Corzine’s and Governor McGreevey’s transition teams. Ms. Ryan received her law degree from Seton Hall University School of Law and a bach-elor’s degree from Rutgers University (Cook College).

10:15 a.m. – 11:05 a.m. Studio A “The Feds Are Here – Now What??”

Bret S. Bissey, FACHE, MBAIMA Consulting

Martin Monaco, JD, MBADuane Morris, LLP

Your Organization has received a Federal Warrant or Subpoena issued by the Department of Health and Human Services Officer of Inspector Gen-eral, what are the proper reactionary activities to take. This session will discuss the following topics:

Service of Warrant or Subpoena on Officers of Facility Executives �Pro-Active Planning and Preparation Efforts �First Call and Action �Officer’s Response Based Upon Facility Policy �Protocol for Interaction with Agents �Significant Disruption in Services �Subpoena Authority �Areas of Concern �

12

Time Location Workshop DetailsStudio B Healthcare Reform and Impact

on Hospitals

Barry M. Schilmeister, FSA, MAAAMercer

Nearly every employer’s HR department is working to deal with federal Health Care Reform. This is not a one-time event. With guidance on Reform’s new rules trickling out, expanding health benefits is just the beginning. New administrative obligations will begin to build with this year’s enrollment season and will expand over the next two years. Then the real fun begins, with “play or pay” mandates, insurance exchanges, benefit vouchers and high-cost plan excise taxes. Reform’s changes bring a double focus to hospitals, as providers of both benefits and health care services. Benefit plan mandates may drive a new look at the workforce and how it is rewarded. The lack of cost-reduction programs within the Reform law may drive a new look at how health care is paid for. Changes in Medicare reimbursements could further strain budgets and pressure benefit program spend, though more patients should have insurance and be able to pay for their care. Hear how employers are viewing Health Care Reform and its features-grandfathering, affordability, disclosure and more-and strategies on the table with employers as benefit providers and with hospitals as employers.

Studio C Physician Integration: Aligning Interests, Coordinating Quality and Lowering Costs

Kevin Brennan, CPA, FHFMAGeisinger Health System

Mr. Brennan, Executive Vice President of Finance and Chief Financial Officer of Geisinger Health System will provide his perspective on opportuni-ties and challenges for dramatically transforming your organization in the areas of physician integration, organizational leadership, evidenced-based medicine and clinical process improvements. He will share his experience with some of Geisinger’s innovations in increasing quality of care, accountability and cost efficiency.

Studio D Anticipating Healthcare Reform Impact on the Revenue Cycle and Reimbursement

Brian Sherin, MBA, FHFMAJonathan Besler, CPABESLER Consulting

The passage of the Patient Protection and Affordable Care Act, signed into law by President Obama on March 23, 2010, set into motion a wide array of changes that will take effect from now into 2014. While the legislation is widely referred to as the healthcare “reform” bill, the eventual impact it will have on providers and the general population remains very uncertain. Some say it does too little and others claim it goes too far. At this point in time there may actually be more questions than answers but ultimately the implementing regulations will determine the true course that “reform” takes. This presentation will examine the potential impact that the law may have on providers, the revenue cycle and reimburse-ment in general. This will include provisions that will influence the way providers function, new demands on various operational areas, the expan-sion of Medicaid, dealing with Medicare cuts, changes to traditional insurance coverage, increased claim scrutiny and expanded data require-ments. In addition, pending non-reform requirements will be discussed.

11:10 a.m. – 12:00 noon Studio A HEALTHCARE FOR THE MASS’S: Breaking Down Massachusetts Healthcare Reform and What We Can Expect from National Healthcare Reform.

Gerard VittiHealthcare Financial, Inc.

Andy BresslerBank of America Merill Lynch

Healthcare reform is the “hot button” issue in healthcare and will continue to be for quite sometime. We as a country are constantly search-ing for answers to our ongoing national healthcare crisis. Massachusetts is leading the nation in Healthcare reform and with national healthcare reform legislation now passed; many other states are starting to take notice.

By looking at national healthcare reform trends and the state of Massachusetts as the “benchmark” for plans-in-development, Mr. Gerard Vitti and Mr. Andy Bressler will review and dissect the current legislative developments in Congress to reform the US healthcare system, as well as examining Massachusetts and its sweeping public and private reforms, as the current model to lead the country toward universal coverage.

This is a topic that has and will continue to have a profound impact on any one involved and working in the field of healthcare and the topics pre-sented are critical to understanding where healthcare reform has been, where it is currently and where it looks to be headed. Attendees will learn to better implement tactics and strategies to ensure better coverage for patients at their hospitals, open new doors on eligibility and combating a high self pay market.

Studio B Summary of Health Reform Legislation Including An Update for Meeting Federal Incentive Payments Based on the New Meaningful Use Criteria

Michael Monahan, FHFMACarmen Voelz, FHFMA Dell

Recently, both the Centers for Medicare & Medicare Services (CMS) and the Office of the National Coordinator (ONC) issued their final rule for the long-anticipated “meaningful use” criteria. The rule sets the standard that the healthcare industry must adhere to when implementing an elec-tronic health record (EHR) system in order to receive part of the $27.3 billion in incentives authorized by the American Recovery and Reinvestment Act of 2009 (ARRA). This discussion will cover the healthcare reform bill recently signed by President Obama and will highlight the recently issued “meaningful use” rule and its impact on providers.

Studio C Preparing for Success with Bundles Payments

Jonathan Pearce, MBA, CPAJohn HarrisDGA Partners

Bundled payment is currently of interest because of provisions in the health reform legislation that require CMS to develop a demonstration proj-ect (referred to as a “pilot program” in the legislation) using the bundled payment methodology. Learn how to make this payment methodology succeed for you.

Studio D The Art of Planning and Deci-sion Making Under Healthcare Reform

John LeiferCBIZ Benefits & Insurance Services, Inc.

Joanne Vaul, MBACBIZ KA Consulting Services, LLC

The healthcare system in the United States is undergoing vast changes, which will impact virtually every aspect of future payment mechanisms and service delivery for millions of Americans. Leaders are faced with the need to make strategic and tactical decisions about the future without knowing how the new landscape will develop. The lack of specificity in the legislation and the extended timeline of the implementation make this planning and decision making process uniquely demanding. This presentation will focus on the aspects of the legislation that are particularly challenging and the elements that offer opportunities to focused and creative leaders. Specific examples of areas where hospital leaders can implement changes that are certain to take their organizations in the right direction regardless of the specifics of the regulations that will follow. Additional insight will be provided related to monitoring and planning for the potential alternatives and their impact on the financials.












Exhibit Hall Set Up











10:50 a.m. to 11:00 a.m. Break




















Luncheon


Awards Ceremony












13

Time Location Workshop DetailsStudio B Healthcare Reform and Impact

on Hospitals

Barry M. Schilmeister, FSA, MAAAMercer

Nearly every employer’s HR department is working to deal with federal Health Care Reform. This is not a one-time event. With guidance on Reform’s new rules trickling out, expanding health benefits is just the beginning. New administrative obligations will begin to build with this year’s enrollment season and will expand over the next two years. Then the real fun begins, with “play or pay” mandates, insurance exchanges, benefit vouchers and high-cost plan excise taxes. Reform’s changes bring a double focus to hospitals, as providers of both benefits and health care services. Benefit plan mandates may drive a new look at the workforce and how it is rewarded. The lack of cost-reduction programs within the Reform law may drive a new look at how health care is paid for. Changes in Medicare reimbursements could further strain budgets and pressure benefit program spend, though more patients should have insurance and be able to pay for their care. Hear how employers are viewing Health Care Reform and its features-grandfathering, affordability, disclosure and more-and strategies on the table with employers as benefit providers and with hospitals as employers.

Studio C Physician Integration: Aligning Interests, Coordinating Quality and Lowering Costs

Kevin Brennan, CPA, FHFMAGeisinger Health System

Mr. Brennan, Executive Vice President of Finance and Chief Financial Officer of Geisinger Health System will provide his perspective on opportuni-ties and challenges for dramatically transforming your organization in the areas of physician integration, organizational leadership, evidenced-based medicine and clinical process improvements. He will share his experience with some of Geisinger’s innovations in increasing quality of care, accountability and cost efficiency.

Studio D Anticipating Healthcare Reform Impact on the Revenue Cycle and Reimbursement

Brian Sherin, MBA, FHFMAJonathan Besler, CPABESLER Consulting

The passage of the Patient Protection and Affordable Care Act, signed into law by President Obama on March 23, 2010, set into motion a wide array of changes that will take effect from now into 2014. While the legislation is widely referred to as the healthcare “reform” bill, the eventual impact it will have on providers and the general population remains very uncertain. Some say it does too little and others claim it goes too far. At this point in time there may actually be more questions than answers but ultimately the implementing regulations will determine the true course that “reform” takes. This presentation will examine the potential impact that the law may have on providers, the revenue cycle and reimburse-ment in general. This will include provisions that will influence the way providers function, new demands on various operational areas, the expan-sion of Medicaid, dealing with Medicare cuts, changes to traditional insurance coverage, increased claim scrutiny and expanded data require-ments. In addition, pending non-reform requirements will be discussed.

11:10 a.m. – 12:00 noon Studio A HEALTHCARE FOR THE MASS’S: Breaking Down Massachusetts Healthcare Reform and What We Can Expect from National Healthcare Reform.

Gerard VittiHealthcare Financial, Inc.

Andy BresslerBank of America Merill Lynch

Healthcare reform is the “hot button” issue in healthcare and will continue to be for quite sometime. We as a country are constantly search-ing for answers to our ongoing national healthcare crisis. Massachusetts is leading the nation in Healthcare reform and with national healthcare reform legislation now passed; many other states are starting to take notice.

By looking at national healthcare reform trends and the state of Massachusetts as the “benchmark” for plans-in-development, Mr. Gerard Vitti and Mr. Andy Bressler will review and dissect the current legislative developments in Congress to reform the US healthcare system, as well as examining Massachusetts and its sweeping public and private reforms, as the current model to lead the country toward universal coverage.

This is a topic that has and will continue to have a profound impact on any one involved and working in the field of healthcare and the topics pre-sented are critical to understanding where healthcare reform has been, where it is currently and where it looks to be headed. Attendees will learn to better implement tactics and strategies to ensure better coverage for patients at their hospitals, open new doors on eligibility and combating a high self pay market.

Studio B Summary of Health Reform Legislation Including An Update for Meeting Federal Incentive Payments Based on the New Meaningful Use Criteria

Michael Monahan, FHFMACarmen Voelz, FHFMA Dell

Recently, both the Centers for Medicare & Medicare Services (CMS) and the Office of the National Coordinator (ONC) issued their final rule for the long-anticipated “meaningful use” criteria. The rule sets the standard that the healthcare industry must adhere to when implementing an elec-tronic health record (EHR) system in order to receive part of the $27.3 billion in incentives authorized by the American Recovery and Reinvestment Act of 2009 (ARRA). This discussion will cover the healthcare reform bill recently signed by President Obama and will highlight the recently issued “meaningful use” rule and its impact on providers.

Studio C Preparing for Success with Bundles Payments

Jonathan Pearce, MBA, CPAJohn HarrisDGA Partners

Bundled payment is currently of interest because of provisions in the health reform legislation that require CMS to develop a demonstration proj-ect (referred to as a “pilot program” in the legislation) using the bundled payment methodology. Learn how to make this payment methodology succeed for you.

Studio D The Art of Planning and Deci-sion Making Under Healthcare Reform

John LeiferCBIZ Benefits & Insurance Services, Inc.

Joanne Vaul, MBACBIZ KA Consulting Services, LLC

The healthcare system in the United States is undergoing vast changes, which will impact virtually every aspect of future payment mechanisms and service delivery for millions of Americans. Leaders are faced with the need to make strategic and tactical decisions about the future without knowing how the new landscape will develop. The lack of specificity in the legislation and the extended timeline of the implementation make this planning and decision making process uniquely demanding. This presentation will focus on the aspects of the legislation that are particularly challenging and the elements that offer opportunities to focused and creative leaders. Specific examples of areas where hospital leaders can implement changes that are certain to take their organizations in the right direction regardless of the specifics of the regulations that will follow. Additional insight will be provided related to monitoring and planning for the potential alternatives and their impact on the financials.

Thursday, October 21, 2009

14

Time Location Workshop Details1:45 p.m. – 2:45 p.m. Event Center Keynote

Value Based Healthcare

Dr. Yosef Dlugacz

With decades of experience dealing with process variables and educating professionals and the community about the importance of integrating quality methods into the delivery of care to improve health outcomes, Dr. Dlugacz’s research focuses on developing models for improved patient safety and clinical outcomes. He has been invited to consult with various healthcare organizations and his established methodologies have been praised nationally and internationally.

Dr. Dlugacz is Adjunct Research Professor at New York University and a Visiting Professor to Beijing University’s MBA Program. He is also a guest lecturer at the University of Padova in Italy, Albert Einstein Hospital in Sao Paulo, Brazil and Helsingborg Hospital and Uppsala University in Swe-den. In addition, Dr. Dlugacz is a consultant for the Joint Commission Resources and has appeared in numerous national video teleconferences promoting quality and safety.

Dr. Dlugacz has written two widely used texts on quality management: The Quality Handbook for Healthcare Organizations: A Manager’s Guide to Tools and Programs (2004) and Measuring Healthcare: Using Quality Data for Operational, Practical and Clinical Improvement (2006). Just released, Value-Based Health Care: Linking Finance and Quality addresses the timely issue of “value” in health care delivery.

3:00 p.m. – 3:50 p.m. Studio A Healthcare Reform and the Mandated Compliance Plan

Margaret Davino, JD, RN, MBAKaufman, Borgeest, Ryan LLP

This presentation will discuss the requirement under the healthcare reform law for mandated compliance plans for certain parts of the healthcare industry, and how such mandates may likely be expanded to include other healthcare providers. The program will discuss both provisions in the healthcare reform law, and in other recent laws, that place additional focus on compliance plans. It will analyze the requirements in the healthcare reform law for mandatory reporting and repayment of overpayments, and how failure to return an overpayment under the law is now a “false claim.” It will also review the positions being taken by the Office of Inspector General as to the healthcare reform law and enforcement against provider.

Studio B Lessons Learned on Finance’s Role in Reducing Clinical Varia-tion

Melinda HancockBon Secours Richmond Health System

Given current healthcare environment, reducing variation in cost and quality is a key strategy for many organizations. Hear one organization’s ef-forts and lessons learned.

Studio C Future Reimbursement Models – The Viability of ACO’s, Medi-cal Home, and Risk Models of Reimbursement

Kate Fitch, RN, MEdBruce Pyenson, FSA, MAAAMilliman

The financial feasibility of an ACO depends on effectively managing medical service utilization for its population and contracted risk. Integrating medical management and finance, which often operate in silos, involves the following steps:

Translate the ACO’s goals into detailed, quantitative budgets �Determine which medical services can be better managed to meet budgets �Establish utilization targets for these services �Deliver the medical management services that effectively impact utilization �Compare actual utilization to targets and take remedial action if needed �

By the end of this session, you will:

Understand actuarial utilization targets for an ACO’s designated population: an ACO’s financial success will depend on delivering care that �meets or beats the actuarial budgets

Identify impactable services, and the feasibility of reducing those services (ambulatory care sensitive admissions, preference sensitive admissions, �readmissions, high tech imaging, ER visits, brand v. generic)

Learn the steps in performing a medical management gap analysis to evaluate supply side (concurrent review, utilization management, referral �management) and demand side (case management, disease management, wellness, patient decision aid programs, transition of care programs) services.

Understand best practice medical management operations �Appreciate ACO medical management challenges highlighted by an ACO case study �

Studio D Health Care Revenue Cycle in Massachusetts

Roger CameronLahey Clinic

Share Lahey Clinic hospital and physican group practice revenue cycle experiences, strategies, tools and successes in suburban Massachusetts. This presentation will provide the following:

Overview of State MassHealth, Health Safety Net and other State programs �Explain Lahey Clinic Revenue Cycle Tool Kit, resource, and processes used to manage the environment �Share Revenue Cycle Performance Numbers (Good, Bad, & Ugly) �The train up ahead - Future expectations �












Exhibit Hall Set Up











10:50 a.m. to 11:00 a.m. Break




















Luncheon


Awards Ceremony












15

Thursday, October 21, 2010Time Location Workshop Details1:45 p.m. – 2:45 p.m. Event Center Keynote

Value Based Healthcare

Dr. Yosef Dlugacz

With decades of experience dealing with process variables and educating professionals and the community about the importance of integrating quality methods into the delivery of care to improve health outcomes, Dr. Dlugacz’s research focuses on developing models for improved patient safety and clinical outcomes. He has been invited to consult with various healthcare organizations and his established methodologies have been praised nationally and internationally.

Dr. Dlugacz is Adjunct Research Professor at New York University and a Visiting Professor to Beijing University’s MBA Program. He is also a guest lecturer at the University of Padova in Italy, Albert Einstein Hospital in Sao Paulo, Brazil and Helsingborg Hospital and Uppsala University in Swe-den. In addition, Dr. Dlugacz is a consultant for the Joint Commission Resources and has appeared in numerous national video teleconferences promoting quality and safety.

Dr. Dlugacz has written two widely used texts on quality management: The Quality Handbook for Healthcare Organizations: A Manager’s Guide to Tools and Programs (2004) and Measuring Healthcare: Using Quality Data for Operational, Practical and Clinical Improvement (2006). Just released, Value-Based Health Care: Linking Finance and Quality addresses the timely issue of “value” in health care delivery.

3:00 p.m. – 3:50 p.m. Studio A Healthcare Reform and the Mandated Compliance Plan

Margaret Davino, JD, RN, MBAKaufman, Borgeest, Ryan LLP

This presentation will discuss the requirement under the healthcare reform law for mandated compliance plans for certain parts of the healthcare industry, and how such mandates may likely be expanded to include other healthcare providers. The program will discuss both provisions in the healthcare reform law, and in other recent laws, that place additional focus on compliance plans. It will analyze the requirements in the healthcare reform law for mandatory reporting and repayment of overpayments, and how failure to return an overpayment under the law is now a “false claim.” It will also review the positions being taken by the Office of Inspector General as to the healthcare reform law and enforcement against provider.

Studio B Lessons Learned on Finance’s Role in Reducing Clinical Varia-tion

Melinda HancockBon Secours Richmond Health System

Given current healthcare environment, reducing variation in cost and quality is a key strategy for many organizations. Hear one organization’s ef-forts and lessons learned.

Studio C Future Reimbursement Models – The Viability of ACO’s, Medi-cal Home, and Risk Models of Reimbursement

Kate Fitch, RN, MEdBruce Pyenson, FSA, MAAAMilliman

The financial feasibility of an ACO depends on effectively managing medical service utilization for its population and contracted risk. Integrating medical management and finance, which often operate in silos, involves the following steps:

Translate the ACO’s goals into detailed, quantitative budgets �Determine which medical services can be better managed to meet budgets �Establish utilization targets for these services �Deliver the medical management services that effectively impact utilization �Compare actual utilization to targets and take remedial action if needed �

By the end of this session, you will:

Understand actuarial utilization targets for an ACO’s designated population: an ACO’s financial success will depend on delivering care that �meets or beats the actuarial budgets

Identify impactable services, and the feasibility of reducing those services (ambulatory care sensitive admissions, preference sensitive admissions, �readmissions, high tech imaging, ER visits, brand v. generic)

Learn the steps in performing a medical management gap analysis to evaluate supply side (concurrent review, utilization management, referral �management) and demand side (case management, disease management, wellness, patient decision aid programs, transition of care programs) services.

Understand best practice medical management operations �Appreciate ACO medical management challenges highlighted by an ACO case study �

Studio D Health Care Revenue Cycle in Massachusetts

Roger CameronLahey Clinic

Share Lahey Clinic hospital and physican group practice revenue cycle experiences, strategies, tools and successes in suburban Massachusetts. This presentation will provide the following:

Overview of State MassHealth, Health Safety Net and other State programs �Explain Lahey Clinic Revenue Cycle Tool Kit, resource, and processes used to manage the environment �Share Revenue Cycle Performance Numbers (Good, Bad, & Ugly) �The train up ahead - Future expectations �

16

Time Location Workshop Details4:10 p.m. – 5:00 p.m. Studio A Charting New Territory: New

Requirements for Voluntarily Disclosing Overpayments to Governmental Agencies and Examining When to Appeal Adverse RAC Determinations

Lourdes Martinez, Esq.Jeffrey S. Brown, Esq.Garfunkle Wild, P.C.

The recent federal Health Care Reform legislation places new requirements on health care providers to report and refund overpayments received from the Medicare and Medicaid Programs and strengthens the federal government’s ability to both criminally and civilly penalize providers who knowingly retain overpayments. Providers must be cognizant of the new legal rules and be knowledgeable of the potential risks and benefits, as well as the various avenues of self-reporting that are currently available in order to map out the appropriate route to follow when an overpayment is discovered.

Moreover, as the Medicare Recovery Audit Contractor (RAC) program has become a central part of the Centers for Medicare and Medicaid Ser-vices’ commitment to aggressively seek out and recoup overpayments made to health care providers – with RAC initiated complex medical reviews now underway nation-wide – providers also must examine whether to expend their limited resources seeking relief from adverse RAC determina-tions through the Medicare appeals process.

Studio B Healthcare Reform: Impact on Mergers and Acquisitions

Andrew Stephenson, CPA, MBAChip Clark, CPACraig KappelErnst & Young

Health care reform creates both risks and opportunities that will challenge providers and payors in the coming years. Significant changes in health care delivery, health insurance coverage, reimbursement methodologies, quality requirements, technology needs and government oversight re-quire providers to evaluate their current business and transaction strategies, cost structures and access to capital, and to act quickly to respond to the legislative and regulatory challenges. Many health care providers and payors will need to consider and will enter into mergers and acquisition transactions in response to the challenges and opportunities created by health care reform.

Studio C Healthcare Reform: Changes Aplenty for Employer Health Plans

Mark Holloway, JDLockton Companies, LLC

Mark Holloway, Lockton Benefit Group, will discuss the recently passed health care legislation and how it will impact employers and the health care plans they sponsor. He will identify the new law’s most immediate requirements for employer plans, the longer-term obligations, and the dramatic manner in which the law will reshape how health insurance is provided and paid for by the middle of the decade.

Studio D Improving Productivity of Self Managed Revenue Cycle Staff

Garett JacksonJoe ShuttsHCA – National Patient Account Services

HCA - National Patient Account Services discussion will provide real life examples of how a highly-measured environment with strict production standards can produce higher collections, all while delivering a high degree of customer and employee satisfaction. Take practical examples back to your collections department that you can implement immediately.

Friday, October 22, 20108:40 a.m. – 9:40 a.m. Event Center Keynote

Laughter is the Best Medicine

Dr. Brad Nieder

Brad Nieder, M.D., is a funny doctor, keynote speaker and clean comedian who blends healthcare humor with wellness advice and an uplifting message. Audiences love his “Laughter is the Best Medicine” program, finding it entertaining and inspiring (and informative, too, as Dr. Brad explains--without being boring--how laughter really is good medicine ... for managing pain, enhancing immune system function, reducing stress and more.)

Dr. Brad is unique. (After all, how many physicians do you know who can make you laugh?) He’s been described as Jerry Seinfeld or Ray Ro-mano...with an “MD.” Always a fan of standup comedy and improvisation, Brad became a founding member of the SIMPS improv troupe while attending Stanford University. During medical school at the University of Colorado, he frequently performed standup comedy throughout Denver for both live audiences ... and cadavers. He then moved on to the Medical College of Virginia for his residency. He still traverses the country, but he once again lives in Denver, a general practitioner by training who some would say is really a specialist in Healthy Humor™. And while he has NOT been published in the New England Journal of Medicine, he has co-authored the book Humor Me, which features his popular poem of well-ness advice.

9:50 a.m. - 10:50 a.m. Event Center Keynote Ethical Intelligence: How Good People Make Great Things Happen

Dr. Bruce Weinstein

You’re a good person already, and you strive to do the right thing. Why, then, should you bother attending a talk about ethical intelligence?

It’s because you’re already an ethical person that you stand to benefit from this presentation. As someone who values intelligence, you continue to learn and grow through the experiences you have, the books you read, and the people you know. One of the most valuable forms of intelli-gence is to know how to treat others and yourself. This is what the presenter, Dr. Bruce Weinstein, means by “ethical intelligence.”

This lively, interactive presentation will show you how to strengthen your business and personal relationships, make better decisions at work and home, and promote positive word of mouth about your good work—all by applying five simple principles you already know.

11:00 a.m. – 12:15 p.m. Event Center CFO Panel – Healthcare Reform Impact

Moderator: Brian Sherin

Panelists include:

Kevin Brennan, Geisinger Health SystemNeal Lubarsky, Thomas Jefferson University HospitalGarrick Stoldt, St. Peter’s Medical CenterStella Visaggio, Hackettstown Regional Medical Center












Exhibit Hall Set Up











10:50 a.m. to 11:00 a.m. Break




















Luncheon


Awards Ceremony












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Thursday - Friday, October 21-22, 2010Time Location Workshop Details4:10 p.m. – 5:00 p.m. Studio A Charting New Territory: New

Requirements for Voluntarily Disclosing Overpayments to Governmental Agencies and Examining When to Appeal Adverse RAC Determinations

Lourdes Martinez, Esq.Jeffrey S. Brown, Esq.Garfunkle Wild, P.C.

The recent federal Health Care Reform legislation places new requirements on health care providers to report and refund overpayments received from the Medicare and Medicaid Programs and strengthens the federal government’s ability to both criminally and civilly penalize providers who knowingly retain overpayments. Providers must be cognizant of the new legal rules and be knowledgeable of the potential risks and benefits, as well as the various avenues of self-reporting that are currently available in order to map out the appropriate route to follow when an overpayment is discovered.

Moreover, as the Medicare Recovery Audit Contractor (RAC) program has become a central part of the Centers for Medicare and Medicaid Ser-vices’ commitment to aggressively seek out and recoup overpayments made to health care providers – with RAC initiated complex medical reviews now underway nation-wide – providers also must examine whether to expend their limited resources seeking relief from adverse RAC determina-tions through the Medicare appeals process.

Studio B Healthcare Reform: Impact on Mergers and Acquisitions

Andrew Stephenson, CPA, MBAChip Clark, CPACraig KappelErnst & Young

Health care reform creates both risks and opportunities that will challenge providers and payors in the coming years. Significant changes in health care delivery, health insurance coverage, reimbursement methodologies, quality requirements, technology needs and government oversight re-quire providers to evaluate their current business and transaction strategies, cost structures and access to capital, and to act quickly to respond to the legislative and regulatory challenges. Many health care providers and payors will need to consider and will enter into mergers and acquisition transactions in response to the challenges and opportunities created by health care reform.

Studio C Healthcare Reform: Changes Aplenty for Employer Health Plans

Mark Holloway, JDLockton Companies, LLC

Mark Holloway, Lockton Benefit Group, will discuss the recently passed health care legislation and how it will impact employers and the health care plans they sponsor. He will identify the new law’s most immediate requirements for employer plans, the longer-term obligations, and the dramatic manner in which the law will reshape how health insurance is provided and paid for by the middle of the decade.

Studio D Improving Productivity of Self Managed Revenue Cycle Staff

Garett JacksonJoe ShuttsHCA – National Patient Account Services

HCA - National Patient Account Services discussion will provide real life examples of how a highly-measured environment with strict production standards can produce higher collections, all while delivering a high degree of customer and employee satisfaction. Take practical examples back to your collections department that you can implement immediately.

Friday, October 22, 20108:40 a.m. – 9:40 a.m. Event Center Keynote

Laughter is the Best Medicine

Dr. Brad Nieder

Brad Nieder, M.D., is a funny doctor, keynote speaker and clean comedian who blends healthcare humor with wellness advice and an uplifting message. Audiences love his “Laughter is the Best Medicine” program, finding it entertaining and inspiring (and informative, too, as Dr. Brad explains--without being boring--how laughter really is good medicine ... for managing pain, enhancing immune system function, reducing stress and more.)

Dr. Brad is unique. (After all, how many physicians do you know who can make you laugh?) He’s been described as Jerry Seinfeld or Ray Ro-mano...with an “MD.” Always a fan of standup comedy and improvisation, Brad became a founding member of the SIMPS improv troupe while attending Stanford University. During medical school at the University of Colorado, he frequently performed standup comedy throughout Denver for both live audiences ... and cadavers. He then moved on to the Medical College of Virginia for his residency. He still traverses the country, but he once again lives in Denver, a general practitioner by training who some would say is really a specialist in Healthy Humor™. And while he has NOT been published in the New England Journal of Medicine, he has co-authored the book Humor Me, which features his popular poem of well-ness advice.

9:50 a.m. - 10:50 a.m. Event Center Keynote Ethical Intelligence: How Good People Make Great Things Happen

Dr. Bruce Weinstein

You’re a good person already, and you strive to do the right thing. Why, then, should you bother attending a talk about ethical intelligence?

It’s because you’re already an ethical person that you stand to benefit from this presentation. As someone who values intelligence, you continue to learn and grow through the experiences you have, the books you read, and the people you know. One of the most valuable forms of intelli-gence is to know how to treat others and yourself. This is what the presenter, Dr. Bruce Weinstein, means by “ethical intelligence.”

This lively, interactive presentation will show you how to strengthen your business and personal relationships, make better decisions at work and home, and promote positive word of mouth about your good work—all by applying five simple principles you already know.

11:00 a.m. – 12:15 p.m. Event Center CFO Panel – Healthcare Reform Impact

Moderator: Brian Sherin

Panelists include:

Kevin Brennan, Geisinger Health SystemNeal Lubarsky, Thomas Jefferson University HospitalGarrick Stoldt, St. Peter’s Medical CenterStella Visaggio, Hackettstown Regional Medical Center

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Sponsor Ackowledgements

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Sponsor Ackowledgements

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Registration Form Hotel Information

REGISTRATION INFORMATION

34th Annual Institute of the New Jersey Chapter of HFMA in cooperation with the Metropolitan Philadelphia Chapter

The Borgata Hotel, Casino & Spa Wednesday October 20, 2010 through Friday October 22, 2010

Registration and payment is available online through the HFMA NJ Chapter website at www.njhfmainstitute.org. The form may also be faxed, with credit card information, to (609) 348-4433. OR, if paying by check, please fill out the form and mail to the address noted below.

Badge and Mailing Information: _______________________________________________________________ FULL NAME _______________________________________________________________ FIRST NAME FOR NAME BADGE _______________________________________________________________ COMPANY/ORGANIZATION _______________________________________________________________ TITLE_______________________________________________________________ ADDRESS _______________________________________________________________ CITY STATE ZIP _______________________________________________________________ BUSINESS PHONE FAX _______________________________________________________________ EMAIL_______________________________________________________________ HFMA CHAPTER MEMBER NUMBER

Rates Member Non-Member Student

Early Registration $425 $525 $175

Regular Registration $475 $575 $200

Walk-in Registration $525 $625 $225

Wed/Thur Only by 8-31-10 $325 $425 $100

Wed/Thur Only $375 $475 $125

Wed/Thur Only- Walk-in $425 $525 $150

Check all that apply: ____ Chapter Board Member ____ CHFP ____ FHFMA Payment Information: o Payment Enclosed (Check Payable to NJ HFMA (Fed ID: #26-0266857) Mail to: NJ HFMA (Fed ID #26-0266857) / c/o D. Lawrence Planners, L.L.C. / 1125 Atlantic Avenue, Suite 634 / Atlantic City, NJ 08401

o Charge $___________ to: Circle one: VISA Mastercard American Express

______________________________________________ ____________________ ___________________________ Account Number Exp Date 3 or 4 digit Security Code

______________________________________________________________________________________________ Print Cardholder Name Cardholder Signature

______________________________________________________________________________________________ Credit Card Billing Address City State Zip Code *Conference Fees are not refundable on or after October 1, 2009 ** Note that credit card payments to HFMA – NJ will appear as a purchase from D. Lawrence Planners, LLC on your credit card statement.

Host Site & Hotel:

BORGATA HOTEL, CASINO and SPA, One Borgata Way, Atlantic City, NJ 08401

www.theborgata.com

To reserve a room at The Borgata, Hotel, Casino, and Spa, call (866) MY-BORGATA or 1-866-692-6742.

Please identify yourself as a NJ Healthcare Financial Management Associate or reference code: BORGHFMA in order to receive the discounted rate of $129 per night. Price does not include taxes. Any reservations made after September 1, 2010 are on a space availability basis at the current rack rates. Cancellations are subject to Hotel policy, and may result in one night’s room rate. Please confirm with Hotel prior to cancellation.

SPECIAL: If you are a non-member and join HFMA at the Institute, your rate will be $575 – includes full registration plus membership for the remainder of the membership year (ending April 31, 2011).

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The Borgata Hotel, Casino and Spa One Borgata Way Atlantic City, NJ 08401 Tel (866) MY BORGATA or (866) 692-6742. www.theborgata.com

HFMA has reserved a block of rooms at the hotel. Conference rates of $129 per night plus taxes will be honored through September 1, 2010, OR until the rooms are sold out. To make reservations, please call the hotel directly and identify yourself as an Healthcare Financial Management Associate or reference code: BORGHFMA

in order to receive the discounted rates.

Cancellations are subject to Hotel policy, and may result in one night’s room rate. Please confirm with Hotel prior to cancellation.

If You Have to CancelA refund of the registration fee, less a $100 processing fee, will be granted in cancellation is received prior to September 1, 2010. NO REFUNDS will be granted if cancellation is received after that date. Substitutions are permitted. Cancellations must be made in writing to DL Planners or via the on-line registration portal if you registered electronically. (http://www.regonline.com/hfma2010)

Sponsorship & Exhibitor OpportunitiesPlease call Deb Shapiro at 201-617-7100 x2975 orHoward Krain 908-377-5020; email [email protected]

Dress CodeCasual business attire is suggested for all sessions and events.

QuestionsIf you have any questions regarding your registration, contact DL Planners at 609-344-1333.

For additional information . . . please follow the links on our web site at: www.hfmanj.org. or go directly to www.njhfmainstitute.org

Registration Form Hotel Information

34th annual institute at the borgata hotel and casino spa ... · studio b mapping the future -...

Documents